Andalusian cardiovascular surgeons point to the advantages of an implant of aortic valve without suture.

-the Andalusian health service has not yet accepted this type of intervention, being the only autonomous community in the country that can not implanted this type of valves in public health

-circulatory diseases constitute the first cause of mortality in Andalusia

Spain, December 2012.- now all innovations in cardiovascular surgery are aimed at reducing the aggression needed to put a valve toortica, without compromising on the quality of the implant of the same ”, explains Dr. Miguel Angel Gomez Vidal, who was named new President of the Andalusian society of Cardiovascular Surgery in the last meeting of this society.

has recently promoted the implant of aortic valves transcateter or call TAVI, but time is proving that despite being a good alternative when conventional surgery is contraindicated or is very high risk, their results in the medium term are not those who would like ”, continues the doctor Gómez Vidal. According to this this intervention expert consists of placing a prosthesis expanded within the calcified patient valve, so that the number of leaks periprotesicas is important ”.

to all this adds that aortic valves without suture Yes seem a real alternative to the classic valves in patients at high risk. in this case, we also withdraw calcified the patient valve, only that they present the novelty of not require stitches to secure it. Fixing a cage that surrounds the valve makes it automatically so that we reduce the time of extracorporeal circulation and of surgery, since we do not need to set the valve point to point manually as with classical valves ”.

laboratory practices.

If we add smaller collisions, we would be getting to inflict less damage to patients and therefore lower risk and surgical morbidity and mortality ”, continues the expert in cardiovascular surgery, who recalls that this type of intervention is not yet accepted by the Andalusian health servicebeing the only autonomous community of the country in which this type of valves in public health should not can be implanted.

Prevalence in Andalusia

Circulatory diseases are the leading cause of mortality in Andalusia, as well as in the rest of Spain and in general in Western countries. In addition, aortic stenosis is the commonest valvular heart disease in the population and its prevalence increases with age, from 2.5% at age 75 to 8.1% at age 80. And the surgical replacement of aortic valve under extracorporeal circulation is the treatment of choice for patients with symptoms of severe aortic stenosis. And represents 40% of the activity of the services of cardiovascular corugia of Andalusia.